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B-2017-0936CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0936
858 BRENT DR CUPERTINO, CA 95014-4553 (369 24 034) BARKER
OWNER'S NAME: WEI JOHN HUAFANG TRUSTEE
OWNER'S PHONE: 408-253-3837
License Class C-20: C-36 Lic. #747039
Contractor BARKER MECHANICAL SERVICES INC Date 03/31/2018
I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing
with Section 7000) of Division 3 of the Business & Professions Code and that my
license is in full force and effect.
SERVICES INC
DUBLIN, CA 94568
DATE ISSUED: 06/13/2017
PHONE NO: (925) 560-0280
BUILDING PERMIT INFO:
X BLDG —ELECT X PLUMB
X MECH X RESIDENTIAL _ COMMERCIAL
JOB DESCRIPTION:
REPLACE 40 GAL WATER HEATER - SAME LOCATION; REPLACE
hereby affirm under penalty of perjury one of the following two declarations: FURNACE - SAME LOCATION
t. I have and will maintain a certificate of consent to self -insure for Worker's
Compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above
information is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction, and hereby authorize
representatives of this city to enter upon the above mentioned property for
inspection purposes. (We) agree to save indemnify and keep harmless the
City of Cupertino against liabilities, judgments, costs, and expenses which
may accrue against said City in consequence of the granting of this permit.
Additionally, the applicant understands and will comply with all non -point
source regulations per the Cupertino Municipal Code, Section 9.18.
Signature Date 6/13/2017
OWNER-BUILDE DEC
I hereby affirm that I am exempt from the Contractor's License Law for one of the
following two reasons:
t. I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for
sale (Sec.7044, Business & Professions Code)
2. I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec.7044, Business & Professions Code).
I hereby affirm under penalty of perjury one of the following three declarations:
r. I have and will maintain a Certificate of Consent to self -insure for Worker's
Compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
2. I have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
3. I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the
Worker's Compensation laws of California. If, after making this certificate of
exemption, I become subject to the Worker's Compensation provisions of the
Labor Code, I must forthwith comply with such provisions or this permit shall
be deemed revoked.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
correct. I agree to comply with all city and county ordinances and state laws
relating to building construction, and hereby authorize representatives of this city
to enter upon the above mentioned property for inspection purposes. (We) agree
to save indemnify and keep harmless the City of Cupertino against liabilities,
judgments, costs, and expenses which may accrue against said City in
consequence of the granting of this permit. Additionally, the applicant understands
and will comply with all non -point source regulations per the Cupertino Municipal
Code, Section 9.18.
Signature Date 6/13/2017
Sq. Ft Floor Area: I Valuation: $3500.00
APN Number: Occupancy Type:
369 24 034
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by: Abby Avende
Date: 06/13/2017
RE -ROOFS:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtainiig an inspection, I agree to remove all new materials for
inspection.
Signature of Applicant:
Date: 6/13/2017
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
HAZARDOUS MATERIALS DISCLOSURE
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Section 25532(x) should I store or handle hazardous
material. Additionally, should I use equipment or devices which emit hazardous
air contaminants as defined by the Bay Area Air Quality Management District I
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
the Health & Safety Code, Sections 25505, 25533, and 25534.
Owner or authorized agent:
Date: 6/13/2017
CONSTRUC
I hereby affirm that there is a construe ing agency for the performance
of work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's Address
ARCHITECT'S DECLARATION
understand my plans shall be used as public records.
Licensed
Professional
GENERAL PERMIT APPLICATION MEP
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
MISC
C IUPERTINO (408) 777-3228 • FAX (408) 777-3333 • buildin cu ertino.or ZO^
Oj
PLUMBING n MECHANICAL ELECTRICAL f I MISCELLANEOUS
PROJECT ADDRESS q S q -r
i —z
APN # - L/
OWNER NAME JA` © 1
PHOI�J� „ 2_5 .
7
E-MAIL
1
STREET ADDRESS
CITY, STATE,ZZ 1""o G G} 501 j
( "j
FAX
CONTACT NAME JEFF RAINEY
PHONE 510-427-4260
E-MAIL
jeffrey.rainey@att.net
STREET ADDRESS 1069 EDGEMERE LANE
CITY, STATE, ZIP HAYWARD, CA 945454
1 FAX 510-783-1041
❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT
❑ CONTRACTOR R CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME
CHRISTOPER BARKER
LICENSE NUMBER
747039
LICENSE TYPE
C20 C36
BUS. LIC #
X0321
COMPANY NAME BARKER MECHANICAL
E-MAIL
FAX 925-560-0288
STREET ADDRESS 6773 SIERRA COURT, STE E
CITY, STATE, ZIP DUBLIN,CA 94568
PHONE 925-560-0280
ARCHITECT/ENGINEER NAME
LICENSE NUMBER
BUS. LIC #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
USE OF SFD. DUPLEX ❑ MULTI -FAMILY
BUILDING: ❑ COMMERCIAL
PROJECT IN WILDLAND ❑ YES
URBAN INTERFACE AREA ❑ NO
PROJECT IN ❑ YES
FLOOD ZONE ❑ NO
IS THE BLDG AN ❑ YES
EICHLER HOME? ❑ NO
DESCRIPTION OF WORK ff
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TOTAL VALUATION: C/t�)
RECEIVED BY: W
By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property own is behkAf. I have read this
application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to building construction. I authorize represe es of C to enter the above -identified property for inspection purposes.
Signature of Applicant/Agent: Date:
SUPPLE AL INFO TI QUIRED
OFFICE USE ONLY
W
❑ OVER-TWXOUNTER
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❑ EXPRESS
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❑ STANDARD
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❑ LARGE
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❑ MAJOR
MEPMiscApp_20 11. doc revised 06/21/11
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations
Project Name:
Tang I Date Prepared:
CF111-ALT 01-E
(Page 1 of 3)
2017-06-09
A. General Information
01
Project Name
Tang
02
Date Prepared
2017-06-09
03
Project Location
858 Brent Drive
04
Building
i ;ing Front Orientation
0.35
05
CA City
Cupertino
06
Number of Dwelling Units
1
with Additions
07
Zip Code
95014
08
Fuel Type
Natural gas
Total Conditioned Floor Area
09
Climate Zone
4
10
(ft2
1080
11
Building Type
Single family
12
Slab Area (ft2):
0
Exceptions to Minimum Ages
13
Project Scope
Space heating system
14
Solar Reflectance andMinimum Thermal Emittance
This field or section is not applicable
or SRI:
B. Building Insulation Details - Framed (Section 150.2(b)1)
This section does not apply to this project.
C. Building Insulation Details - Non -Framed
This section does not apply to this project.
D. Building Insulation Details - Mass Walls
This section does not apply to this project.
Registration Number: 417-A010097466A-000-000-0000000-0000 Registration Date/Time: 2017-06-09 15:29:40 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-06-09 15:29:40
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CFiR-ALT 01-E
Prescriptive Residential Alterations (Page 2 of 3)
E. Roof Replacement (Section 150.2(b)1H)
This section does not apply to this project.
F. Fenestration/Glazing Allowed Areas and Efficiencies (Section 150.2(b)1)
This section does not apply to this project.
G. Fenestration Proposed Areas and Efficiencies - Add (Section 150.2(b)1A)
This section does not apply to this project.
H. Fenestration Proposed Areas and Efficiencies - Replace (Section 150.2(b)113)
This section does not apply to this project.
I. Space Conditioning (SC) Systems - Heating/Cooling (Section 150.2(b).
01
02
03
Dwelling Unit Name
Dwelling Unit Total CFA (f¢)
Comments
1080
J. Water Heating Systems (Section 150.2(b)1G)
This section does not apply to this project.
K. Space Conditioning Systems And Water Heating Systems In Multifamily Dwelling Units
This section does not apply to this project.
Registration Number: 417-A010097466A-000-000-0000000-0000 Registration Date/Time: 2017-06-09 15:29:40 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-06-09 15:29:40
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CFIR-ALT 01-E
Prescriptive Residential Alterations (Page 3 of 3)
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Stephanie Sanchez
Stepha lu Sa*l�
Company:
Signature Date:
Barker Mechanical Service, Inc.
2017-06-09
Address:
CEA/ HERS Certification Identification (if applicable):
6773 Sierra Court, Suite E
City/State/Zip:
Phone:
Dublin CA 94568
925-560-0280
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer).
3. That the energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:
Stephanie Sanchez
Stepha ii&SaN
Company:
Date Signed:
Barker Mechanical Service, Inc.
2017-06-09
Address:
License:
6773 Sierra Court, Suite E
747039
City/State/Zip:
Phone:
Dublin CA 94568
925-560-0280
Digitally signed by CHEERSTI. This digital signature is provided in order to secure the content of this registered
document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 417-A010097466A-000-000-0000000-0000 Registration Date/Time: 2017-06-09 15:29:40 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-06-09 15:29:40
Schema Version: rev 10/16